<div class="medium contact">
 <!--       <form method="POST" 
				action="{ACTION}" enctype="{ENCTYPE}">-->
					
			<fieldset>
				<legend>Visitation</legend>
				
				<a href="javascript: NewCssCal('visitation_datetime','YYYYMMDD','dropdown',true,12)">
				<img src="/js/images/cal.gif" width="16" height="16" alt="Pick a date" border="0"></a>
				<input type="text" id="visitation_datetime" readonly name="visitation_datetime" value="{VISITATION_DATETIME}">
			</fieldset>
			
			<fieldset>
				<legend>Service</legend>
				
				<a href="javascript: NewCssCal('service_datetime','YYYYMMDD','dropdown',true,12)">
				<img src="/js/images/cal.gif" width="16" height="16" alt="Pick a date" border="0"></a>
				<input type="text" id="service_datetime" readonly name="service_datetime" value="{SERVICE_DATETIME}">
				{SERVICE_LOCATION}
				<!-- {SERVICE_ADVISOR_NAME}
				{SERVICE_ADVISOR_PHONE} -->
			<!--	{SERVICE_ADVISOR_CELL} -->
			</fieldset>
			
			<fieldset>
				<legend>Primary Contact</legend>
				{CONTACT_NAME}
				<!-- {CONTACT_ADDRESS}
				{CONTACT_CITY}
				{CONTACT_STATE}
				{CONTACT_ZIP} -->
				{CONTACT_PHONE}
				{CONTACT_EMAIL}
			</fieldset>
			
			<fieldset>
				<legend>Secondary Contact</legend>
				{SECONDARY_CONTACT_NAME}
				<!-- {SECONDARY_CONTACT_ADDRESS}
				{SECONDARY_CONTACT_CITY}
				{SECONDARY_CONTACT_STATE}
				{SECONDARY_CONTACT_ZIP} -->
				{SECONDARY_CONTACT_PHONE}
				{SECONDARY_CONTACT_EMAIL}
			</fieldset>
			
			<fieldset>
				<legend>Cemetery</legend>
				{CEMETERY_NAME}
				{CEMETERY_ADDRESS}
				{CEMETERY_CITY}
				{CEMETERY_STATE}
				{CEMETERY_ZIP}
				{CEMETERY_PHONE}
				{CEMETERY_CONTACT_NAME}
			</fieldset>
			
			<fieldset>
				<legend>Service Advisor</legend>
				{SERVICE_ADVISOR_NAME}
				{SERVICE_ADVISOR_PHONE}
				<!-- {SERVICE_ADVISOR_CELL} -->
			</fieldset>
	 <!--      {SUBMIT_BUTTON}
	</form>-->
</div>	
